Posted on Firm News April 11, 2022 by Erin Ferber
Successfully enrolling or recredentialing as a provider in an insurance network can be challenging regardless of whether you are seeking enrollment in a federal or state funded program, or with a commercial carrier. In recent years, many insurance carriers have contracted with third-party’s to oversee the credentialing process although the insurers remain the determiner of Read more →
Posted on Firm News October 9, 2018 by Parker Eastin
The Firm successfully defended the Firm’s physician client against allegations that the physician had practiced below the standard of care and had failed to keep adequate records in connection with a medical marijuana patient. The case against the physician was closed with no action being taken against the physician. The Firm investigated the allegations at Read more →
Posted on Firm News, Fraud Investigation October 2, 2018 by Robert Nicholson
The Firm successfully defended the Firm’s nurse practitioner client against allegations that the nurse practitioner had submitted false claims to the Medicaid Program in connection with medical and diagnostic services provided at the client’s medical clinic. After a lengthy investigation, the Medicaid Fraud Control Unit closed the investigation with no action being taken against the Read more →
Posted on Firm News September 25, 2018 by Parker Eastin
The Firm and its Tennessee co-counsel secured a preliminary injunction in federal district court in Tennessee that precludes CMS (and its contractors) from initiating recoupment with respect to approximately $7 million in alleged Medicare overpayments against the Firm’s DME supplier client. In 2017, the firm’s client – a national DME supplier based in Memphis – Read more →
Posted on Firm News December 5, 2017 by Parker Eastin
After submitting a detailed appeal on behalf of our client’s medical practice, the Firm secured a complete reversal of an overpayment demand from the Medicaid contractor. The Medicaid contractor initially challenged the coverage for the allergen immunotherapy services provided by the medical practice. However, after addressing the support for the allergy services found in the Read more →